arrhythmias and ACLS
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| meds used in the pulseless VT/Vfib algorithm in ACLS | epinephrine 1 mg or vasopressin 40 mg alternate with amiodarone 300 mg x1 f/b 150 mg x1 or lidocaine in a pinch.
🗑
|
||||
| meds used in asystole/PEA algorithm in ACLS | epinephrine 1 mg or vasopressin 40 mg
🗑
|
||||
| meds used in symptomatic bradycardia algorithm in ACLS | atropine 0.5 mg, may repeat Q3-5 mins up to 3 mg. if not effective may try transcutaneous pacing dopamine 2-10 mcg/kg/min or epinephrine 2-10 mcg/min,
🗑
|
||||
| meds used in tachycardia in ACLS. specifically narrow complex with regular ventricular rhythm | typically SVT or sinus tach. use vagal maneuvers or adenosine. 6 mg f/b 12 mg up to two doses. decrease to 3 mg if pt on CBZ or dipyrimadole or post heart transplant. increase dose if pt on theophylline or caffeine
🗑
|
||||
| meds used in tachycardia in ACLS. specifically narrow complex with irregular ventricular rhythm | typically afib or flutter. use rate control. non-DHPs or beta blockers or digoxin.
🗑
|
||||
| meds used in tachycardia in ACLS. specifically wide complex that is VT or of unknown mechanism | adenosine. alternatively can try amiodarone. can use procainamide or sotalol if pt does NOT have prolonged QTc.
🗑
|
||||
| meds used in tachycardia in ACLS. specifically wide complex with confirmed SVT | adenosine
🗑
|
||||
| meds used in tachycardia in ACLS. specifically wide complex with polymorphic VT | typically QTc >500 ms. torsades. if stable use mag 1-2 g boluses. up to 16 g in 24 hours. if unstable defibrillate. correct electrolytes specifically mag and potassium.
🗑
|
||||
| Class Ia antiarrhythmics | Sodium channel blockers. disopyramide, quinidine, procainamide (double quarter pounder) intermediate
🗑
|
||||
| Class Ib antiarrhythmics | Sodium channel blockers. lidocaine, mexilitine, phenytoin (lettuce mayo pickles) fast
🗑
|
||||
| Class Ic antiarrhythmics | Sodium channel blockers. flecainide, propafenone (fries please) slow
🗑
|
||||
| Class II antiarrhythmics | beta blockers - specifically metoprolol, esmolol and atenolol
🗑
|
||||
| Class III antiarrhythmics | potassium channel blockers. amiodarone, dronedarone, dofetilide, sotalol, ibutilide
🗑
|
||||
| Class IV antiarrhythmics | calcium channel blockers. NON DHPS diltiazem, verapamil
🗑
|
||||
| mainstay of therapy for chronic treatment of ventricular arrhythmias | beta blockers. only drug with mortality benefit. amiodarone and sotalol also occ. used but no mortality benefit. typically only for altering threshold of ICD firing.
🗑
|
||||
| Which antiarrhythmics should be avoided in HF pts | Class Ia and Ic (intermediate and slow sodium channel blockers)
🗑
|
||||
| Which antiarrhythmics should be avoided in acute MI pts | Class Ia and Ic (intermediate and slow sodium channel blockers) increases mortality in this population.
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
mjuhlin
Popular Pharmacology sets